Universal handle for surgical instruments



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UNIVERSAL HANDLE FOR SURGICAL INSTRUMENTS 2 Sheets-Sheet 1 Filed June 20. 1921 INVENTOR JVIT'NEESES @JM/M/QQMWML ATTOR N EY E. C. DAY I UNIVERSAL HANDLE FOR SURGICAL INSTRUMENTS Filed June 20. 19 21 2 Sheets-Sheet 2 lllll ATTO-RNEY Patented Get. 16, 1923.

' Application filed'June 20, 1921 Serial m; 478,909.

T o'allwkio-m it may concern: w t

Beit known that EMORY (1.. DAY, acitizen of the United States, residingzat Laglma Beach, in the county of Orange and State of. ali ornia, have invented a newv andzuse ful Universal andle for Surgical lnstru m rits, Of which the following is a speeifica V This invention has reference to universal handles forsurgical instruments, and its bjectis to pro ide a handle to which Yarn ous for-inset surgical instruments maybe attached. and by 'whichthey may beoperated;

' thezsiing'l handle serving for instruments of qu te ifferent characters.

Th j l handle 15 such as toreceiye and operate various forms of. accessory surgi al instrument -adap-t'ed to: fit it. I

*ed" that it maybe dismantled without the Ameng such instruments are. those for wire.

snare or guillotine tonsilotomy' and ton- Sllectorny instruments, scissors or forceps" for-cutting and grasping, and Various instrumentalities of" special or general type forapplying movements of the human hand to any instrument of suitable character-tor the removal ottonsils, polypi and bone, and

for the removal orjintroduction of foreign substances in connection with nose and throat surgery or other natural and are, ficial body cavities.

The, present invention is similar in some respects, to a surgical snare 'and universal handle for which I have executed an application for'Letters Patent ofev'en dateherewith, the said application being intended more. particularly for use as a surgical snare per se although having capabilities of use as a uniiersal handle for carrying various kindsof surgicalinstruments. "The inven tion isalso similar to the surgical snare forwhichil filed Letters Patent on December 24,1919, under SerialNumber 75156.

In'aceordance with this inventiom there is provided an instrument havlng a bodyigen-t erally simulating apistol in shape and provided with a pistol gripby m'eansot which the instrument may. be firmly held; in line with the part to-b'e operated upon, and by means of devices 7 whereby the" instrument moveswith greatest force when approaching the completion of its movement, theefi'ort on the part ofthe operator is minimized and equalized and consequently great steadiness in the operation o'f' the instrument is attained' UNIVERSAL arem FQRSURQICQAL INSQWIENTS- one" of the, different Fig/1; 1 Fig-a lies a section on theilinef 4 -4: of

particulars therefrom;

v WW

' c or A WAQBEA E reationists The uniyersal handle includes hand grip and a lever relatively located 'sogthat both may bejgrasped by the hand ot the oper:

"carried bythe'handle'toward theoperator this contributingfto steadiness andv certainty otopera-tion;v f

, The silde and lever are connected together by means movable. along an elongated slot havinga curvature along one edge contrio uting to the ease of'action of the lever,- and the slide has meansi'for attachingto it any 7 instruments for which F it is intended. a 3

Moreover, the instrumentis so construct:

aidof tools to anextentto permit thorough cleansing, whlchiis paricularly necessary in the case ofsurgical instruments. a

. The invention will be best understood I from a consideration ofthef following detailed deseriptionftaken-in connection with the, accompanying drawing forming part of this specifioationl with the understanding, however, that the invention is not confined to any exact conformity with; the showing I of the drawing, but may be changed and modified, so long as such changes and media ficationsmark no material departure from,

thels alient features of'the intention, as ex pressed in the appended claims:

' In thejdrawingze a a Fig.1 salongitudlnal 'sectlon, wi h some parts in elevation,' of a L1111YY$21lhaIldl8 embodying the invention gg at P n. shown 1n F1g'.'1;

- Fig. s (a Fig. 5isa side elevationsimilarv to the structure-of Fig 1, but differing in some dis'a oletail section on the line 6-5 oftTFig. 5;

frame 1 somewhat similar iii Shape {vi w of the "structure section on the line 3+3 of v I alface plate shown in front sectioniin'Fig, 5; -1 I Referring 'to the drawing there is a pistol and comprising a handhold or pistol grip 2 and astock 3 in about the same relation to each other as a pistol grip and barrel. gated so as to furnish ample room for the hand of the operator, while thestock'3v 5 with ribs 6 on opposite sides, entering the grooves 1- and thereby held in place with freedom of movement lengthwise of the stock, The block 5 is provided with extended tailpieces 6 constituting continuationsof the ribs 6 seated in the grooves 4, so as to provide an extended. bearing for the block 5, permitting the latter to move along the stock 3 without rocking.

Rising from the block 5 is a post 7, in the top of which there is. sunken a seat 8 having a narrow approach 9 from theforward end ofthe block, so as to receivea ball extrem- 'ity 1O and'neck 11 fast on or contlnued from one end of a rod'12 forming a part of the surgical instrument.

Depending from the bottom of the block 5 is a pair of cars 13 joined at their lower ends by a thumb'screw 14:, and at their upper ends merging into the tail pieces 6 At the front end of the stock 3 there is a post 15 which may be in one piece with the stock, at one side of the latter, and extending through the post 15 in line with the socket.

8 is a passage 16 provided with screw threads 17 which may be of the multilated or breech-block type. Adapted to the screw threads 17 in the post 15 is a screw-threaded plug 18 also of the mutilated, or breechblock type, and this plug is provided with a spring lug 19 capable of engaging in notches or dimples 2O in-the forward face of the post 17, whereby when the mutilated or breech screw plug 18 is moved into the post 15 and turned for a partial rotation, itzwill bind in the screw threads and'be held by the spring lug 19 in the position to--which it is adjuste The screwplu'g 18 has, a'radial slot 21 through one side vof sufficient size to pass aiguide sleeve 22 extending axially through the head 15, said guide being hollow and =slotted longitudinally forsthe rod 12, which latter isfprovidedwith a longitudinal .fin'

23 tofmove through the'slotted guide 22.

The rod 12 is held in the guide 22 by the pressure exerted on the latter by the screw plug 18-when in place;

The handhold 2 is somewhat elon- The instrument is provided with a lever 24 of general rectangular shape having a curved side connected to t-he'upper. rear end of the body member 1 by a pivot screw 25, extending through a hub 25 on the bod member 1, and also through the corresponding. corner of the lever, this screw acting as a binding screw to hold the side plate 3 of the. stock in place and permitting its removal as well as the removal of other parts also held by the side plate 3*. V Along one side of the lever is a slot 26 throughwhich the fingers of the hand of the user may be passed so that with the palm of the hand partially encircling the handhold 2. and the fingers extending through the slot 26, the latter may be'drawn towards the handhold 2 about the pivot support 25. 1 l I The lever 24 is 'skeletonized for lightness without sacrifice of strength, and that portion of the lever 24; remote from the slot 26 is made suflicientlyfthin to enter between the:ears"13 and continuations of the block 5, so that the lever mayhave a considerable rocking movement without interference with other parts.

Adjacent to the forwardedge' of the lever .24 there is formedan elongated slot 27 traversed by the bolt 14E which constitutes a :connection between the lever and the block 5. i

At the rear of the han'olhold' 2 is a spur 28. high-up. on the handhold so'as to pro vide an abutment for the handof the user.- This spur maybe fixed as shown in Fig. 1, or may be adjustable as shown in the companion application for a surgical snare and universal handle, hereinbefore referred to. 1 When a suitable implement is attached to the rod 12 at the endremote from the ball 8, the rod 12 and implement are moved lengthwise of the stock through the guide 22 by a suitable manipulation of the lever 26. This causes the screw or pin 14 to move along the slot 27, thereby drawing the block '5 toward the handhold 2, with a speed which is not of necessity thesame as the speed of movement of the lever, but which is proportional to the curvature of the surface of the forwardedge of the slot. This lever a cts primarily as a lever of the third order, but the slot is lengthened to such an extent that the lever acts as a lever of the second order when inv certain positions; Such an arrangement permits of thehandhol'd'being heldfirmlyinthe palm of the hand'whilethe fingers can be closed on the finger hold of the lever. thus drawing the latter toward the palm of the hand and at the same time 'ca'usingthe sliding block to move'towardthe palm of the hand. a

The curved surface of the slot 27 acting on the pin or screw 14: is approximately'that V ci the curve of aiportioncfi a spiral set.

i V by itsjshepe 3111mm. difi'erence between the are th'rciigh which the slct r moves; in, any" given time. and the distance through. winch eccentriGaHytO the fulcrum of the1e er ,"an(1 the sliding block moves Qin-theQSame time; This difference of speed between the lever and sliding-block producespe difference. In

instrument.

: The length and chrveadr fthe s urfaceyin theslotpermit thefingers", through the lever, exerting them-force through a large are ;of v

movement ofthe leverias well as great force of the sliding block. I

entire instrument steady and 7 in. oneposi; tion throughout the time of operating the inetrumenhe d so? perrhitsei acehrat iay r pheetion of the aeceesory instrumentto the.

i c In the strueture *showni-inhigih end-asst) ciated figures, there is shown a; universal 'hahdlepepeble of use as arsurgicel s are and difierihg in some "respects fromthe device shown in Fig. -,1 and assoeiated figiiresp Figsgl and 5 that" are cernrnon'toboth structures,1those parts appearing infhoth figuresand described'niore pfafticularly with ref-- v lfihe e t thatthe heavie Or of instrumentcapable of bemg' held,

firmly against the palnrof the hand, while the h htercrmoving partsere actuated by the fingers, permits the epemt r to 'holdthe site of the surgical rocedure; procednreis performed with ease;-

Since; there a e parts inithe 'stmetures of ere'nce'td Fig. 1, are prcvided withthe seine reference numerals that have already been used in-the description of to ejoid V 7 repetition.

e :Imthe etruture of Fig. 5, there is Ia re moiieble sideor face plate 30 similar to the: f'face plat'ef3 of Fig. 1," andheld inplace onthe bodym'emberl by a thumb screwed; ias; in Fig, 1 The otheror forward endcf the faceplate 30 has a, notch 31 engaging behind a T-head 32 so that'the face-plate "is held-ht one; end by the 'T-heedand at the: ether end b? the thumb screw 25, so that by] the reniovai Of the thumb screw'25 alcne,'

-theface-p1ate mey'be removed and the device be dismantled for cleanin of repairs.

"The block '5, vin the structure (if Figlh and 'gesOciated figures; is provided with e po'st 7 havin a clamp screw ee'wherebye' snare strand 3% may he anchdred' to it." -.The strand 34 is carried through '9; 13051535,-

in'the form of a Sleeve poet of'Fig. 1.

and similar to There is also rovided e-screW-threeded plug 36 similar to the plugilsef Fig. 1,

ncirlihgh guide tu'be37 Iikethe tub ee mi u,

the sto'ek. V I

Mounted en: the slide his am -mg as;

capable of traveling with the slide" back vof;

thefaceplate and at-the end rembte' .3

from the binding post 7,; carrying-e pin 39; traversing .the ears: 13fand V assing through; the slotq 2'? that on rockmgi thev lever; 24 abcutthe screw on axis 25,, the slide'-5 ;-is

portion-0fthe'instmmentiwi The structure of Fig. 5rfdifi'ersj mainly caused to reciprocatelengthwise:cf the body entered'by a set screwl, the instrument.

may be used as; a; univers gWhatl-is claimedis 1.{-A-1handle fer .surgicah instruments, comprising a handheld anda stcek,the1a,t-, terceneisting of leterally" spaced side membeers, a slide movable in the space.he'tween said members ;a,nd':'S1idaJb1y engaging the same, a lever pivoted at its top to the end of, the steak: andmcveble vertically in the" space between" said rneinbers; in rear of the slide, and: e direct cennecticn between the lever and the 'slide vjin' advance 0f the pivot OLE -;eeidlever, whereby the movement of the lever ;:rearward1y toward the handheld. moves the slide rearwardlyalong said stock.

1- 2. A; hand-1e for Surgical instruments,

a1 instrument: like: thestructure-0Fig; 1..-

comprising a himdholda'nd erstccky-the let teriiconsisting efytwo letterzfllyv spaced: eide on: opposite sides enteringsthe grccve'sf'andmovable? elong the two; members of the steak,

stockand movableiverticelly inthe space he we tween saidmembere-and a directaeonneetion between the; slide: andiithe lever in advance 10f. its: pivht, whereby themovjement 6f the 'leverc brearwardly 1 toward the hejridhold r moverthe slide rearwardly' elcngthe stock'.-'

A:han dlegfor surgical instrumehtgf cjcmpivisi g handheld anda stoclg 'the letter: consisting :ef two" laterallyspaced side memberseach provided-withelongitudinal 7 grcwe'initsinner face e slide 'havingribs Y onioppesite-sideee terin thegreoves and movable elqn the the members of'the; stock, seidelidehavihg rearwe'rdly extended mil-T ;pie'ees-s arfahgedelcngI--the inside" of said A members, e leverpivetedet its top to the end of the-fistock" and movable vertically ihthe spacefhetween eeidta il pieces,finda direct @conn'eetio'n'gbetweenfthe"slide and the lever med-whe of its, pivot, whereb the move-=- ment'fiof the lever reerwardlytoward, the

handheld mdvee, theelide' rearwardly elpng 4.1A handle Efeh "sergica'l ihstrum'ents,

'comprisinge handheld 'efie e ewe}; he-ht- I 'te'r consisting of laterally spaced side members, a slide movable in the space'betweensaid members and slidably engaging the samefa post-rising from the slide above thestock; said post having anjopen seat,- a rod storming part of the surgical instrument hav inga ballextremity to be received in said seat, a pivoted lever in advance of the hand- 7 hold, and a direct connectionbetween the slide andtherlever. r

* 5. The combination with v hold depending from the'stock, a lever pivoted at its top totherstock and depending" downwardly in front'of the handho1d,- a slide movable along the stock, a post rising from the -slide,.a rod forming a part of the surgi- CfiliIlStIllIIlGl'lt, means for connecting one end of the rod to said Ipost, a rigid post on the stock spaced from the other post, and clamping means carried by the second-mentioned postr fi i m 6; A .handle for surgical instruments, comprising a handheld and a" stock, the lat:

ter. consisting of-laterally spaced side memhers, a slidemovable inthe space between said members andz-slidably engaging-the sanda -said slide having depending spaced ears provided-:with a screw or pin, a lever pivoted-'i-atfits upper end to "thestock and 1 movable; verticallyi-in the spaces between said members and said ears, saidlever havspur forming, an abutment for the" handy'a lever pivoted: at itsupper end where the handhold join-srwith the stockandexten'ding downwardly therefromin advance of the handhold,. and means for connecting the a ing a-curvedslot to-receivesaidscrew OI'PlIli and constituting a direct connection between the lever and the'slide whereby the movement of the lever toward or from-.theehand hold reciprocates the slide along the: stock. :-7. A handle for surgical instruments comprising a handle and a stock; a slide movable along the stock, a handliold 'de-V pending from the rear end otthe stock at an angle and-provided with an outstanding lever to the slide below the pivotofthe' lever, saidmeans consisting of a'curved slot along the lever anda pin orscrew, on the slide.

8.;A handle for surgical instruments comprisinga stock, a rigid handhold at one end; of thestock, a slide .movable longitudinally alongl the stoclnimeans for connectingaccessory. surgical instruments to the-,sli'de,' a leverpivote'd at its upper end to the stock: I and having a curved slot; alongthe margin remote from-the handhold, and a pin or 1 screw'connected to the, slide and-passing 1 through said, slot, said lever having a slot to] receive the fingers of the hand, whereby upon movement of thelever rearwardly t0. wardthe handheld the slot traverses the-pin or screw and moves the slide rearwardly 9, ,A handle for surgical instruments comprising a stock, a handholddepending from astock, a handthe stock at its rear end, a slide movablelom 1 gitu'dinally along the stock; means for connecting accessory surgical instruments to the slide, and a lever having a substantially rectangular ,formwith one of the long sides curved; said lever being pivoted'atits' up per corner away from the curved side to'the' "corner where the handhold joins with the stock, and provided with a long curvedslotspaced from'ithe curved'edge of said lever, and a pin or screw carried by fitting in said curved slot.

10. A handle comprising a body 'portion' provide'dwith a pistol grip, and aseat to'r'eceive accessory instruments, a slidable block engaging the body portion and suppliedwith ao seat or'post for engagingthe ac-- cessory instruments; and a lever pivoted on thebody portionand provided with a fingerhold and with a flange pierced by ,a curved slot having the edges of the slot defining a curved surface engaging a fixed part ofthe slidable block. I i v i V '11. A' handle comprising a suitable'body portion,' a slidable block, reciprocable means for engaging accessory instruments applied the slide and to. the body portion and the slidableblock,

and a leverpivoted on thebody portion and provided with a flange pierced by a slot through the thickness of the flangei said slot being curved to form a'curved actuating s ur- 'face engaging the slidable. block and sa d curve approxlmating the curvature ofa por.---

tion ofa'spir'al. i

12. handle for' surgical instruments,

comprising a suitable body with a handhold,

reciprocable me'ans-onthe body forcarrying and actuatingfao'ceSSOry surgical instruments, and'a lever pivoted on the body and to the reciprocablemeans, said body having'a removable face plateonthe side with a notch at one end and a clamp screw atthe opposite end to secure the vface platerin holding relation to the reciprocable means; and -'lever,- whereby on the removal of the clamp screw the handle may be dis antled for'cleaning'and repairs. i

13. A' handle. for surgical instruments,: provided with a reclprocab-le blockhavlng" means for carrylng and actuating surgical;

instruments, guiding means in the'handle. for the blocln a'leverpivoted on the handle" and provided with a curved slot, and, con

necting means between the lever and block.

including a pin carried by the'b'lock engaging the curved-slot for converting rocking movements of the lever into reciprocatory 1 movements of the block to actuate the sur--;

gical instruments 14. The combination the stock h'av-w ing a post provided with a passage, said passage havingmutilated screw threads; a

screwethreaded plug also having mutilated screw threads, means carried by the screw vplug and engaging a fixed partto holdthe screw plug in its adjustment, said plug haking a radial slot, a hollow guide sleeve adapted to be passed into said slot', said sleeve being provided with a longitudinal slot, and a. rod passed" through the sleeve and having 2L longitudinal pin to move in'the' slot of said s1eeve,'said-1 od beingheld in the sleeve by the pressure exented on the" I latter by the screw plug when in place.

I'n testimony, that I claim the foregoing as my own, I ture. Y

have hereto afiixe'd my sigma f YEMORY. o. DAY. 

